CPAP
What part is missing from the steps in patient process to treating OSA
1.Patient Symptoms
2.
3.Evaluation with sleep technician
4.diagnostic testing
5.titration
6.evaluation and followup with DME
Doctors order
What does Ipap and Epap stand for
Inspiratory and Expiratory
What is the primary goal of pap titration
to find the lowest pressure to prevent respiratory events
EPR stands for
Expiratory pressure relief
Three parts of equipment for pap therapy are ...pap machine,interface and______
Tubing
Inspire by stimulating this nerve that controls the tongue
hypoglossal nerve
What is min and max pressure for cpap
4 cm and 20 cmh2O
What is EPAP comparable to
EPAP
What is the minimum time interval for increasing pap
1 cm in no less than 5 min
How does the ramp feature work
Stats at a lower pressure and increases to a preset pressure over set time
A cpap machine is really nothing more than a
air compressor that pulls in air and pressurizes it and is adjusted by a valve
True or False
The device that is surgically implanted can be activated right away to control events
False
What is the primary goal of PAP therapy
Airway patency
What is the standard deviation in Ipap and Epap pressure
4 cmH2O
Increase pap pressure can be made under these parameters
5 reras
3 min snoring
3 hypopneas
2 obstructions
This feature controls the min and max inspiratory time to help patients with COPD and restrictive patients
TiControl
A cpap machine is this kind of splint, that keeps the upper airway open
Pneumatic
How is the device controlled
Handheld remote
What does flattening or "chair like " pattern in the airflow signal suggest
Upper airway limitation
Ipap keeps the airway open while Epap does this_____
Stabilizes the airway
True or False
You should increase pressure for low SpO2 even if there are no respiratory events
False
This is a pulmonary problem
This feature manages mask leaks and loss of pressure
Vsync
This equipment feature is used to reduce nasal dryness and congestion
heated humidity
Some contraindications of Inspire are
Cant have MRI
Hard to swallow
Body Mass over 40%
may interfere with other implanted devices ie: pacemaker, defibrillator
Central or mixed apneas are over 25% of overall AHI
What should the optimal flow signal look like
Sinusoidal
This mode of Bipap is initiated by the patient
Spontaneous
You should increase Ipap for this type of event(s)
5 rera
3 hypopneas
3 min snoring
These are the two most common comfort features used with cpap and bipap
Cflex and biflex
True or False
Inspire is best indicated for mild to moderate sleep apnea
False
Moderate to Severe and BMI under 40%
This mode of Bipap lets the patient breathe on their own but has a back-up rate of 2-3 breaths less than their normal rate
Bipap S/T
Spontaneous Timed
You should increase Epap for what type of events
Obstructions
What is min pressure for bipap
8/4